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Certificate of Completion

The Community and Clinical Connection for Prevention and Health Branch recognizes that

on , has completed

Am I Ready?

Enrolling in a diabetes prevention program is a year-long commitment. We want to do everything possible to make sure that you are prepared. Please answer the following five questions to help you decide if now is the right time for you to enroll.

Are you motivated to make lifestyle changes that include eating healthy foods?

YesNo

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1 of 5

Are you motivated to make lifestyle changes that include moderate physical activity (such as walking)?

YesNo

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2 of 5

Are you able to manage current distractions in your life that may discourage you from committing to this year-long program?

YesNo

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3 of 5

Are you committed to losing 5% of your body weight over the next 12 months? A 5% weight loss has been shown to reduce the risk of developing type 2 diabetes.

YesNo

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4 of 5

Are you committed to a year-long program that includes attending at least 22 classes?

YesNo

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5 of 5

If you answered NO to one or more of these questions, you may not be ready to enroll in a diabetes prevention program at this time. Explore what is holding you back and face those obstacles. In some cases, it may be a simple matter of timing. In other cases, you may need to assess what is preventing you from being able to answer YES to a specific question and take action in this area.

Congratulations

You entered yes to all the questions and you may be ready to enroll in a diabetes prevention program at this time.